36C26323Q0991 0001 REVISE PRICE SCHEDULE.pdf
PDF 213 KB Posted
- Attached to
- Q401--On-Site Acute Dialysis Nursing Service
- Solicitation number
- 36C26323Q0991
About this file
This document is an amendment to a federal contract solicitation for on-site acute dialysis nursing services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 is seeking offers for acute hemodialysis nursing procedures to be provided on-site at the Sioux Falls VA Health Care System Monday through Friday from 7:30 AM to 4:30 PM, as well as after hours and in emergency situations. Services will also include attending monthly quality meetings, providing training, culture draws, and performing procedures at the contractor's facility as needed. The amendment adds a line item for maintaining water treatment and dialysate systems twice per week. Offerors must acknowledge the amendment by the receipt deadline of November 7, 2023 at 11:00 AM Central Time. The price schedule provides unit pricing and estimated quantities for the base year from January 1, 2024 to December 31, 2024 and four one-year option periods.
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Other files
| File | Type | Posted |
|---|---|---|
| PWS - ACUTE DIALYSIS NURSING SERVICE.pdf | ||
| 36C26323Q0991 0001_1.docx | DOCX document | |
| 852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST (1).pdf | ||
| 36C26323Q0991 ON-SITE ACUTE DIALYSIS SERVICE.pdf | ||
| IMMIGRATION AND NATIONALITY ACT OF 1952.pdf | ||
| WAGE DETERMINATION 2015-5369 REV 20.pdf | ||
| 36C26323Q0991_1.docx | DOCX document |
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Text version
5. PROJECT NUMBER (if applicable)
CODE 7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO. 1. CONTRACT ID CODE
FACILITY CODE CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended,
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30 PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243
(Type or print) (Type or print)
(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code)
(If other than Item 6)
(Specify type of modification and authority)
(such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer)
1 16
N/A
Department of Veterans Affairs
NETWORK 23 CONTRACTING OFFICE
1303 5th St, Suite 300 Coralville IA 52241 Michael Cotton michael.cotton@va.gov
Department of Veterans Affairs
NETWORK 23 CONTRACTING OFFICE
1303 5th St, Suite 300 Coralville IA 52241
36C26323Q0991
11-06-2023
X
X X
November 7, 2023, 11:00 AM Central Time
See CONTINUATION Page
X one (1)
The purpose of this Amendment is to revise the Performance Work Statement and the Price Cost Schedule.
A line item was added for Maintenance of Water Treatment and Dialysate Systems in accordance with the manufacturer’s guidelines. See Performance Work Statement and Price/Cost Schedule for additional information.
Offeror shall use the attached revised Price/Cost Schedule when submitting an offer.
Offeror shall acknowledge this Amendment by either returning a copy of this Amendment or by annotating acknowledgement of the issued amendment.
The date/time for receipt of offers remains unchanged.
John Becker Contracting Officer
VA-VHA-2020-BEE57D1B
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
ITEM
NUMBE
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
T UNIT PRICE AMOUNT
150.00 EA
Acute Hemodialysis Nursing Procedure, On-Site, Monday through Friday, 7:30 AM to 4:30
PM.
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers PRODUCT/SERVICE CODE: Q401 - Medical - Nursing
30.00 EA
Acute Hemodialysis Nursing Procedure, On-Site, After Hour, (evening/weekend).
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
12.00 EA
Emergency Response to the Sioux FallsVAHCS (within 60 minutes).
To be billed in addition to the normal business hour or after hour procedure.
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
Attend Sioux Falls VAHCS Dialysis Quality Meeting. One (1) hour per month, twelve (12) times per year.
Contract Period: Base
ITEM
NUMBE
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
T UNIT PRICE AMOUNT
POP Begin: 01-01-2024 POP End: 12-31-2024
10.00 EA
Training Hours. Five (5) hours per employee, maximum of two (2) employees for a total of ten (10) hours per year.
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
Culture Draw Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
Acute Hemodialysis Nursing Procedure at the Contractor’s facility, as needed (when services cannot be performed at the Sioux Falls VAHCS due to natural disaster, construction, loss or damage to equipment, contamination of equipment, etc.)
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
Laboratory Test (when procedure is performed at the contractor’s facility). Various Tests for BUN, URR, Kt/V, Anemia, Hemoglobin, Iron Saturation and Ferritin, Nutrition, Albumin, Potassium, and Bone and Mineral Metabolism.
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
T UNIT PRICE AMOUNT
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
Pharmaceutical Cost (when procedure is performed at the contractor’s facility). Various Drugs: Calcitriol, Etelcalcetide, Iron Sucrose, Lanthanum Carbonate, Sevelamer, and other pain medications.
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
104.00 EA
Maintain Water Treatment and Dialysate Systems in accordance with the manufacturer’s guidelines and standards of practice. Two
(2) times per week, 104 times per year for a total of three (3) dialysis systems.
Contract Period: Base POP Begin: 01-01-2024 POP End: 12-31-2024
BASE TOTAL
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
150.00 EA
PM.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
30.00 EA
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025 procedure.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
Attend Sioux Falls VAHCS Dialysis Quality Meeting. One (1) hour per month, twelve (12) times per year.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
ten (10) hours per year.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
Acute Hemodialysis Nursing Procedure at the Contractor’s facility, as needed (when services cannot be performed at the Sioux Falls VAHCS due to natural disaster, construction, loss or damage to equipment, contamination of equipment, etc.)
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
BUN, URR, Kt/V, Anemia, Hemoglobin, Iron Saturation and Ferritin, Nutrition, Albumin, Potassium, and Bone and Mineral Metabolism.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
R
DESCRIPTION OF
SUPPLIES/SERVICE
S
QUANTIT
Y
UNI
Pharmaceutical Cost (when procedure is performed at the contractor’s facility). Various Drugs: Calcitriol, Etelcalcetide, Iron Sucrose, Lanthanum Carbonate, Sevelamer, and other pain medications.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
104.00 EA
Maintain Water Treatment and Dialysate Systems in accordance with the manufacturer’s guidelines and standards of practice. Two
(2) times per week, 104 times per year for a total of three (3) dialysis systems.
Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025
OPTION 1 TOTAL __________________
NUMBER
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PRICE AMOUNT
150.00 EA __________________ __________________
PM.
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
30.00 EA __________________ __________________
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
12.00 EA __________________ __________________
procedure.
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
Attend Sioux Falls VAHCS Dialysis Quality Meeting. One (1) hour per month, twelve (12) times per year.
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
10.00 EA __________________ __________________
ten (10) hours per year.
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PRICE AMOUNT
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
Acute Hemodialysis Nursing Procedure at the Contractor’s facility, as needed (when services cannot be performed at the Sioux Falls VAHCS due to natural disaster, construction, loss or damage to equipment, contamination of equipment, etc.)
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
BUN, URR, Kt/V, Anemia, Hemoglobin, Iron Saturation and Ferritin, Nutrition, Albumin, Potassium, and Bone and Mineral Metabolism.
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
Pharmaceutical Cost (when procedure is performed at the contractor’s facility). Various Drugs: Calcitriol, Etelcalcetide, Iron Sucrose, Lanthanum Carbonate, Sevelamer, and other pain medications.
Contract Period: Option 2 POP Begin: 01-01-2026
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PRICE AMOUNT
POP End: 12-31-2026
104.00 EA __________________ __________________
Maintain Water Treatment and Dialysate Systems in accordance with the manufacturer’s guidelines and standards of practice. Two (2) times per week, 104 times per year for a total of three (3) dialysis systems.
Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026
OPTION 2 TOTAL __________________
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PM.
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027 procedure.
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027 month, twelve (12) times per year.
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027 ten (10) hours per year.
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PRICE AMOUNT
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027 needed (when services cannot be performed at the Sioux Falls VAHCS due to natural disaster, construction, loss or damage to equipment, contamination of equipment, etc.)
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027
BUN, URR, Kt/V, Anemia, Hemoglobin, Iron Saturation and Ferritin, Nutrition, Albumin, Potassium, and Bone and Mineral Metabolism.
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027 facility). Various Drugs: Calcitriol, Etelcalcetide, Iron Sucrose, Lanthanum Carbonate, Sevelamer, and other pain medications.
Contract Period: Option 3 POP Begin: 01-01-2027
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
PRICE AMOUNT
POP End: 12-31-2027 per week, 104 times per year for a total of three (3) dialysis systems.
Contract Period: Option 3 POP Begin: 01-01-2027 POP End: 12-31-2027
OPTION 3 TOTAL __________________
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
Friday, 7:30 AM to 4:30
PM.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028
(evening/weekend).
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028
To be billed in addition to the normal business hour or after hour procedure.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 month, twelve (12) times per year.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 employees for a total of ten (10) hours per year.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 needed (when services cannot be performed at the Sioux Falls VAHCS due to natural disaster, construction, loss or damage to equipment, contamination of equipment, etc.)
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 facility). Various Tests for BUN, URR, Kt/V, Anemia, Hemoglobin, Iron Saturation and Ferritin, Nutrition, Albumin, Potassium, and Bone and Mineral Metabolism.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 facility). Various Drugs: Calcitriol, Etelcalcetide, Iron Sucrose, Lanthanum Carbonate, Sevelamer, and other pain medications.
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028 per week, 104 times per year for a total of three (3) dialysis systems.
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT
UNIT
Contract Period: Option 4 POP Begin: 01-01-2028 POP End: 12-31-2028
OPTION 4 TOTAL __________________
CONTRACT TOTAL
BASE TOTAL _______________________________________
OPTION 1 TOTAL _______________________________________
OPTION 2 TOTAL _______________________________________
OPTION 3 TOTAL _______________________________________
OPTION 4 TOTAL _______________________________________
COMBINED TOTAL _______________________________________
| A.1 PRICE/COST SCHEDULE |
| ITEM INFORMATION |
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